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. Author manuscript; available in PMC: 2022 Aug 1.
Published in final edited form as: Am J Prev Med. 2021 May 18;61(2):e53–e61. doi: 10.1016/j.amepre.2021.02.011

Table 2.

Relative Risks for the Joint Exposure of Purpose in Life and Income (N=13,159)a

Sense of purpose in lifeb Additive and multiplicative effect modification
Low Medium–low Medium–high High Low Medium–low Medium–high High
Household income quartile sc n, died/alive RR (95% CI) n, died/alive RR (95% CI) n, died/alive RR (95% CI) n, died/alive RR (95% CI) Additived Multiplicativee Additive Multiplicative Additive Multiplicative
1st quartile 565/692 1.0 273/493 0.91 (0.79, 1.06); p=0.22 220/460 0.91 (0.78, 1.06); p=0.23 122/396 0.76 (0.62, 0.92); p=0.01 ref ref ref ref ref ref ref
2nd quartile 353/591 0.93 (0.81, 1.07); p=0.33 252/627 0.87 (0.74, 1.02); p=0.09 205/609 0.81 (0.69, 0.97); p<0.01 140/526 0.78 (0.64, 0.95); p=0.01 ref 0.03 (−0.17, 0.22); p=0.80 1.02 (0.82, 1.27); p=0.83 −0.03 (−0.23, 0.18); p=0.81 0.96 (0.76, 1.22); p=0.76 0.10 (−0.13, 0.32); p=0.40 1.11 (0.84, 1.47); p=0.46
3rd quartile 234/519 0.98 (0.83, 1.16); p=0.83 176/637 0.78 (0.65, 0.93); p=0.01 187/770 0.76 (0.64, 0.92); p<0.01 105/684 0.58 (0.47, 0.73); p<0.01 ref −0.12 (−0.34, 0.11); p=0.30 0.87 (0.68, 1.11); p=0.25 −0.13 (−0.35, 0.10); p=0.28 0.86 (0.67, 1.10); p=0.23 −0.15 (−0.39, 0.08); p=0.21 0.79 (0.58, 1.07); p=0.12
4th quartile 107/384 0.88 (0.70, 1.10); p=0.27 100/609 0.68 (0.54, 0.86); p=0.01 112/902 0.58 (0.46, 0.72); p<0.01 102/1007 0.55 (0.43, 0.69); p<0.01 ref −0.11 (−0.37, 0.15); p=0.41 0.85 (0.63, 1.16); p=0.31 −0.21 (−0.47, 0.04); p=0.10 0.72 (0.53, 0.98); p=0.04 −0.09 (−0.35, 0.17); p=0.50 0.82 (0.59, 1.15); p=0.25

Notes: Boldface indicates statistical significance (p<0.05).

a

RRs ratios were adjusted for age, gender, race/ethnicity, marital status, education, wealth, health insurance, heart disease, stroke, cancer, diabetes, hypertension, lung disease, arthritis, and depression using Poisson regression.

b

Purpose in life was assessed using the purpose in life subscale of the Ryff Psychological Well-being Scales. Purpose in Life Quartiles: Low: 1.00–3.86; Medium–low: 3.87–4.57; Medium–high: 4.58–5.29; High: 5.30–6.00

c

Household income quartiles: 1st Quartile: ≤$20,024; 2nd Quartile: $20,025–$38,321; 3rd Quartile: $38,322–$71,895; 4th Quartile: ≥$71,896

d

Effect modification on additive scale: relative excess risk due to interaction (RERI; SEs were calculated by using delta method).

e

Effect modification on multiplicative scale: ratio of risk ratio (RRR).

RR, risk ratio.